22-100523-100 Permit Application-2.8.2022-V141k
CITY OF
Federal Way
PERMIT NUMBER
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
TARGET DATE 3/ 1/ 2 0 2 2
SITE ADDRESS
SUITE/UNIT #
301 S 320th St, Federal Way, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 27,820.00
OP (MOB)
1 7 2 1 0 4- 9 1 0 5
TYPE OF PERMIT
O BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Kaiser FED Infrastructure Upgrades
PROJECT DESCRIPTION
Detailed description of work to
Installation of 2 new doors and a wood partition wall to the injection
areas, replacement and upgrade of door panels and like hardware at
several locations.
be included on this permit only
NAME
PRIMARY PHONE
Kaiser Permanente of Washington, Marlene Stutzman
206-724-4531
MAILING ADDRESS
E-MAIL
PROPERTY OWNER
1300 SW 27th St
Marlene. C.Stutzman k .or
CITY
STATE
ZIP
Renton
WA
98507-2435
NAME
PHONE
Howard S Wright
206-473-7675
MAILING ADDRESS
E-MAIL
CONTRACTOR
415 1st Ave N, Suite 400
BGreen hswc.com
CITY
STATE
ZIP
FAX
Seattle
WA
98109
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
HOWARSW863BG
01/07/2024
602 435 187
NAME
PRIMARY PHONE
DLR Group Salus, Benjamin Paschke
206-957-1903
APPLICANT
MAILING ADDRESS
E-MAIL
51 University St #600
b aschke dlr rou .corn
CITY
STATE
ZIP
FAX
Seattle
WA
98101
NAME
PRIMARY PHONE
PROJECT CONTACT
DLR Group I Salus, Benjamin Paschke
206-957-1903
MAILING ADDRESS
51 University St #600
E-MAIL
b aschkea6dlr rou .com
(The individual to receive and
respond to all correspondence
CITY
STATE
CITY
STATE
concerning this application)
Seattle
WA
Seattle
WA
PROJECT FINANCING
NAME
Kaiser Permanente of Washington
OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
1300 SW 271h St, Renton, WA 98507-2435
206-724-4531
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
Digitally signed by Benjamin Paschke
s, CN E= jarrin aschkgroup com, O=DLR Group
Salus, CN=Benjamin Paschke
Benjamin PaschkeSalus,
SIGNATURE: Date: 2022.02.02 09:36:04-08'00' DATE
PRINT NAME:
Bulletin #100 —February 19, 2020 Pagel of 2 k:AHandouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project Do not include existin fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (icitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
NA
NA
NA
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
B - Medical Office/Business,
584,659 SF
O Yes ❑ No
-Yes - No
No Change
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
...............................................................................................................................................................................................
FIRST FLOOR (or Mobile Home)
...............................................................................................................................................................................................
SECOND FLOOR
...............................................................................................................................................................................................
COVERED ENTRY
...............................................................................................................................................................................................
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
...............................................................................................................................................................................................
Area Totals EXISTING PROPOSED TOTAL
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
60,210 SF
B - Medical Office/Business
V-A
1
TENANT AREA ONLY
PROJECT AREA ONLY
600 SF
B - Medical Office/Business
V-A
1
Bulletin #100 - February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application